| Blood Test - Blood Glucose (Sugar) Level | $12 | N/A | $12 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $28 | N/A | $28 |
| Blood Test - Cholesterol Test, Lipid Panel | $173 | N/A | $173 |
| Blood Test - Clotting Time | $19 | N/A | $19 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $89 | N/A | $89 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $107 | N/A | $107 |
| Blood Test - Comprehensive Metabolic Panel | $137 | N/A | $137 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $380 | N/A | $380 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $44 | N/A | $44 |
| Lab Test - Detection test for Influenza Virus | $30 | N/A | $30 |
| Office Visit - Basic | $126 | N/A | $126 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $242 | N/A | $242 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $315 | N/A | $315 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $231 | N/A | $231 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $210 | N/A | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $221 | N/A | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $247 | N/A | $247 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $257 | N/A | $257 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $215 | N/A | $215 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $189 | N/A | $189 |
| Office Visit - Established Patient, High Complexity | $273 | N/A | $273 |
| Office Visit - Established Patient, Low Complexity | $158 | N/A | $158 |
| Office Visit - Established Patient, Moderate Complexity | $231 | N/A | $231 |
| Office Visit - New Patient, Low Complexity | $245 | N/A | $245 |
| Office Visit - New Patient, Minor | $189 | N/A | $189 |
| Office Visit - New Patient, Moderate Complexity | $349 | N/A | $349 |
| Psychiatric Diagnostic Evaluation | $263 | 
Near Average
State Average: 1 | $263 |
| Psychotherapy - 30 Minutes | $164 |
Near Average
State Average: 1 | $164 |
| Psychotherapy - 45 Minutes | $184 | 
Below Average
State Average: 4 | $184 |
| Psychotherapy - 60 Minutes | $231 | 
Above Average
State Average: 5 | $231 |
| Psychotherapy - Group Session | $89 |
Above Average
State Average: 5 | $89 |
| Urine Test - Automated without Microscope | $8 | N/A | $8 |
| Urine Test - Urinalysis, Manual Test | $11 | N/A | $11 |
| Vaccine - Influenza for Injection into Muscle | $42 | N/A | $42 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $53 | N/A | $53 |
